Carpal Tunnel Syndrome Archives - Page 2 of 3

Happy Halloween from Dr. Glenn Hyman’s Denver Chiropractic Center

Here’s my family at a Halloween party this past Saturday. I was a grass-fed beef cheeseburger on a gluten-free bun with slice of locally grown heirloom tomato and bio-dynamically grown lettuce 😉

We are in the office today, but closing up a little early so those of us with kids (I have 3, Office Manager Meaghan has 2) can get them ready to take over the night. If you need us, call us 303.300.0424 or reply to this email. Happy Halloween!

Denver Chiropractor Glenn Hyman, the coach (pic) & the 1-Page Health News

I have the privilege of coaching the 9-10 Gridiron Flag Football Eagles this season. For those of you with the opportunity, I strongly recommend making the time for coaching kids’ sports. It’s a great way to have fun, influence some young minds, and learn a thing or two from the kids. We beat the Texans in a 20-19 nail biter.

Mental Attitude: Mild Brain Injuries Have Long-Term Effects.
Kids who have suffered even mild head trauma appear to be more prone to serious issues later in life, such as psychiatric problems and premature death. In this study, researchers compared data collected from 100,000 Swedes who had suffered a minimum of one traumatic brain injury before age 25 to their unaffected siblings and found that those who had head injuries were more 70% more likely to die before age 41 and twice as likely to be hospitalized for psychiatric issues. Moreover, those with head trauma early in life were also 80% more likely to receive government financial assistance due to disability. The findings suggest a strong need for improved brain injury prevention as well as improved treatment post injury.
PLOS Medicine, August 2016

Health Alert: Improper Contact Lens Use Can Lead to Serious Eye Damage.
Researchers from the Centers for Disease Control and Prevention analyzed nearly 1,100 cases of eye infections related to contact lens use and found that nearly one in five patients had either a scarred cornea, required a corneal transplant, or had other types of eye damage due to infection. Furthermore, over 10% of the patients had to go to the emergency room or urgent care for immediate treatment. Examples of unsafe use of contact lenses include: wearing contacts overnight, failing to clean and replace lens solution frequently, and getting contact lenses wet while swimming or in the shower. Study author Dr. Jennifer Cope adds, “While people who get serious eye infections represent a small percentage of those who wear contacts, they serve as a reminder for all contact lens wearers to take simple steps to prevent infections.”
Morbidity and Mortality Weekly, August 2016

Diet: Shopping for Fish.
Adding fish to your diet is a very healthy choice, and many health experts recommend eating fish at least twice per week. When shopping for fish, the Food and Drug Administration suggests the following: choose fish displayed on fresh ice in a case; fish should smell mild and fresh, not fishy and sour; the fish’s eyes should be clear and bulging, gills bright red, and flesh firm and shiny; avoid fish with signs of darkening or dryness at the edges; and choose shrimp of other seafood that shines and has no odor
Food and Drug Administration, August 2016

Exercise: Helps Improve Non-Motor Symptoms of Parkinson’s Disease.
A review of twenty published studies on the effects of physical activity on patients with Parkinson’s disease (PD) reveals that exercise improves a PD patient’s motor skills and benefits non-motor symptoms such as depression, apathy, fatigue, day time sleepiness, sleep, and cognition.
Frontiers in Medicine, August 2016

Chiropractic: May Help COPD Patients Breathe Better.
Chronic obstructive pulmonary disease (COPD) is a chronic lung disease that makes breathing difficult, and it is the third leading cause of death in the United States. In this study, researchers found that patients who received the combination of pulmonary rehabilitation (PR), soft tissue therapy (ST), and spinal manipulative therapy (SMT) experienced greater improvements in lung function than those who received either PR alone or PR and ST only.
Journal of Manual and Manipulative Therapies, August 2016

Wellness/Prevention: Let Your Child Walk to School.
Letting kids walk to school is a great way to increase physical activity and teach independence. However, parents must teach their children the basics of pedestrian safety. The Centers for Disease Control and Prevention recommends the following: make sure kids cross the street at crosswalks or intersections; have children wear reflective clothing and carry a flashlight if it is dark; have children walk on the sidewalk or on the shoulder of the road in the opposite direction of traffic; do not allow children to use technology (phones, tablets) while walking; and take extra precautions with small children who may not be able to judge speed and distance of vehicles and don’t understand traffic rules.
Centers for Disease Control and Prevention, August 2016

Denver Chiropractor is ready to help with back pain, neck pain and more!

Don’t let pain, injury or stiffness get in the way of your summer. We are here to help you. We are also here to help your friends or family. Dr. Hyman has 18 years of experience treating back pain, neck pain and headaches. He also gets great results with shoulders, elbows, wrists, hips, knees and ankles. There is no reason to let pain slow you down, whether it’s new or old.

Call us today at 303.300.0424 and get ready to get back in the game! Or just reply to this email and get straight to Jessica at the front desk. We look forward to helping you!

Attention men over 40, you can restore the Warrior Within– If you are interested in losing weight, building muscle, and getting rid of fatigue / irritability (or other symptoms), we have something new for you. Natural hormone balance for men is a way to optimize testosterone and cortisol levels naturally – no dangerous drugs or untested herbs – using diet, training and coaching from a fellow over-40 guy who understands (Me: I fixed myself up using these exact protocols). If you’re interested you can learn more on our website: http://www.denverback.com/forMen-Over-40.

Here’s this week’s 1-Page Health News:

Diet: The Good & Bad News About Higher Calcium Intake.
According to the National Institutes of Health (NIH), men aged 51-70 should consume 1,000 mg of calcium daily, increasing to 1,200 mg at age 71. NIH experts also recommend that women take in 1,200 mg of calcium daily starting at age 51. In a new study, a research team analyzed the calcium intake as well as the heart disease, stroke, and fracture risk of 2,199 men and 2,704 women over 50 years of age. The team found that participants who had a higher calcium intake had a significantly lower risk of cardiovascular disease than those with a lower calcium intake; however, the analysis found the risk of fracture or stroke did not significantly decrease among those with a higher calcium intake.
The Endocrine Society, April 2016

Exercise: Just 75 Minutes of Exercise Per Week Has Benefits!
The World Health Organization (WHO) reports that physical inactivity is the fourth leading risk factor for global mortality, accounting for approximately 3.2 million deaths annually. Past evidence suggests that regular physical activity can lead to risk reductions of at least 20-30% for more than 25 chronic health conditions and premature mortality. However, the ideal amount and intensity of exercise to recommend to the general public is still a topic that’s hotly debated among the experts. Current physical activity guidelines recommend 150 minutes of moderate-to-vigorous intensity exercise per week, but a new review of the published literature indicates that just half this level of activity may still lead to noticeable health benefits. The authors of the review write, “There is compelling evidence that health benefits can be accrued at a lower volume and/or intensity of physical activity. These health benefits are seen in both healthy and clinical populations.”
Canadian Journal of Cardiology, April 2016

Chiropractic: How Does Obesity Increase the Risk of Low Back Pain?
Obesity is known to be an independent risk factor for musculoskeletal disorders; however, the mechanism behind the association between obesity and lower back pain is not yet fully understood. In an effort to add to the available research, Nigerian scientists investigated the spinal curvature of 300 individuals of varying body shapes/sizes and found those with both an above-normal body mass index and waist-hip ratio were more likely to have greater curvature in the lumbar spine. This suggests the spines of those who are overweight or obese have an increased curve (“sway back”) to accommodate a greater load which the researchers speculate may increase their risk for developing lower back pain.
Patient Preference and Adherence, March 2016

Denver Chiropractor Glenn Hyman presents Denver Chiropractic Center’s 1-Page Health News.

Daily Apple Consumption Helps the Heart.
Consuming fresh fruit, such as apples, each day appears to reduce the risk of dying from either a heart attack or stroke by about one-third. Investigators collected data on more than 500,000 adults between 2004 and 2009 and found that fewer than one-in-five ate fruit on a daily basis. However, the researchers found that those who ate about a half cup of fruit a day had a significantly lower risk for developing cardiovascular disease. Lead researcher Dr. Liming Li reports that participants who ate fruit the most often had lower blood pressure and blood sugar compared to those who ate less fruit, which could explain the reduced risk for heart attacks and stroke.
New England Journal of Medicine, April 2016

Mental Attitude: Sleepless Nights Linked to Changes in the Brain.
Chinese researchers report that insomnia may lead to abnormalities in the white matter of the brain, the tissue which carries information between the various parts of the organ. For the study, the researchers recruited 23 patients with primary insomnia and 30 healthy volunteers. The participants completed surveys that allowed investigators to evaluate their mental status and sleep patterns. Using an advanced MRI technique, the research team also looked at the pattern of water movement in white matter to identify any irregularities. They found that participants with insomnia had significantly reduced white matter integrity in several regions of the brain including the thalamus, which regulates consciousness, sleep, and alertness, as well as the corpus callosum, the area that connects the two halves of the brain. Researcher Dr. Shumei Li notes, “Our results can potentially provide the evidence about how the lack of sleep may lead to the impairment of white matter related to emotional or cognitive disorders.”
Radiology, April 2016

Health Alert: Diabetes Has Quadrupled Worldwide Since 1980.
According to a new report, the number of men and women diagnosed with diabetes around the globe increased from 108 million in 1980 to 422 million in 2014, with the most severe increases noted in low- and middle-income countries. Experts say these findings should sound an alarm for large-scale, effective action that focuses on reducing the health and economic impact of diabetes.
The Lancet, April 2016

Exercise: Too Few Children Get 60 Minutes of Exercise Daily.
In this study, investigators observed 453 schoolchildren during a one-week period and found that only 15% achieved the recommended 60 minutes of moderate-to-vigorous physical activity (MVPA) each day. Furthermore, compared with normal or underweight children, the researchers report that the overweight and obese children in the study were be less active overall and achieved fewer minutes of MVPA during school, out-of-school, and on weekends. Senior author Dr. Jennifer Sacheck comments, “Clearly, schools need to be aware of this disparity and should focus on increasing all intensities of physical activity equally for all children across the school-day.”
International Journal of Behavioral Nutrition and Physical Activity, March 2016

Chiropractic: Musculoskeletal Pain Common in Veterans.
A recent study investigated the prevalence of musculoskeletal disorders among United States veterans. The study included 5,237,763 former soldiers and found that non-traumatic joint pain (27%), back pain (25%), and osteoarthritis (21%) are the most commonly reported and treated musculoskeletal disorders among those who received Veterans Health Administration care. The findings show that musculoskeletal complaints are highly prevalent, painful, and costly disorders among veterans.
Pain, March 2016

Wellness/Prevention: Vitamin D Levels Linked to Cardiovascular Disease Risk.
New research suggests that the risk of cardiovascular disease could be predicted by measuring levels of total and bioavailable vitamin D in both men and women. The study analyzed the vitamin D levels of 4,200 individuals aged 52-76 and assessed whether vitamin D levels had any effect on future cardiac events. The findings revealed that individuals with low levels of both total vitamin D and bioavailable vitamin D were at the greatest risk for heart attack, stroke, heart failure, and even cardiovascular death.
American College of Cardiology Scientific Sessions in Chicago, April 2016

Denver Chiropractor Dr. Glenn Hyman Presents Denver Chiropractic Center’s 1-Page Health News

Mental Attitude: Chronic Stress Can Affect Memory.
Individuals subjected to chronic stress due to bullying or a tough job may experience problems with their memory. Researchers found that mice who were repeatedly stressed by larger, more aggressive mice when they tried to find an escape hole in a maze became more forgetful than mice not exposed to the aggressive mice. The researchers say that the mice’s inability to remember coincided with stress-induced inflammation in the brain. They hope that a better understanding of stress, cognition, and mood problems may help create strategies for those suffering from anxiety, depression, and post-traumatic stress disorder.
The Journal of Neuroscience, March 2016

Health Alert: Secondhand Smoke Exacerbates COPD Symptoms.
Chronic obstructive pulmonary disease (COPD) is a chronic lung disease that makes breathing difficult and is the third leading cause of death in the United States. A recent study found 20% of COPD patients live with an active smoker and 27% were exposed to secondhand smoke during the previous week. For the COPD patient, secondhand smoke exposure is linked to a greater risk for severe exacerbations (51%), nocturnal symptoms (58%), wheezing (34%), and chronic cough (77%).
Thorax, March 2016

Diet: High-Fat Diet May Raise Cancer Risk.
New research suggests that a high-fat diet could increase the risk of colon cancer. In this study, researchers fed healthy mice a high-fat diet (60% of total calories from fat) for nine months and found the mice gained 30-50% more body mass and developed more intestinal tumors than mice on a control diet.
Nature, March 2016

Exercise: Brain Chemicals Affected By Exercise.
Researchers have found that people who exercise not only have better physical fitness than inactive persons, but they also have better mental fitness. Using MRI scans, researchers found that intense exercise increased the levels of two common neurotransmitters called glutamate and gamma-aminobutyric acid in study participants. The finding offers insights into brain metabolism and how exercise could become an essential part of treating depression and other neuropsychiatric disorders associated with deficiencies in neurotransmitters. Lead researcher Dr. Richard Maddock adds, “We are offering another view on why regular physical activity may be important to prevent or treat depression… Not every depressed person who exercises will improve, but many will. It’s possible that we can help identify the patients who would most benefit from an exercise prescription.”
Journal of Neuroscience, February 2016

Chiropractic: Is it CTS or Double Crush Syndrome?
Many patients with carpal tunnel syndrome (CTS) may also have median nerve entrapments further up the course of the nerve (in the neck, shoulder, elbow, etc). When the median nerve is encumbered at two anatomical locations, it’s described as a double crush syndrome (DCS). In this study, researchers compared the results of nerve conduction velocity (NCV) tests on patients with CTS and patients with CTS and cervical spondylotic radiculopathy (an example of DCS). The results showed worse nerve function in the patients with DCS, supporting the possibility of more severe CTS symptoms with a lower likelihood of resolution if treatment only focused on the wrist.
Journal of the Chinese Medical Association, September 2015 (Note- we treat both of these conditions with a combination of Active Release Techniques (ART) and chiropractic work. Call us at 303.300.0424)

Wellness/Prevention: Experts Unsure If Seniors Should Have Routine Vision Checks.
A panel of experts concludes there is not enough data to say whether or not seniors should be routinely screened for vision trouble by their primary care physicians. According to the panel, primary care doctors typically check vision with an eye chart test and while this test can detect refractive errors, it does not identify early stage age-related macular degeneration or cataracts. Task force member Dr. Michael Pignone notes, “Older adults who are having vision problems should talk to their primary care doctor or eye specialist… in the absence of clear evidence, primary care doctors should use their clinical judgment when deciding whether to screen for vision problems in patients without vision symptoms.”
U.S. Preventive Services Task Force, March 2016

Denver Chiropractic Center Weekly Health Update: Hockey guy moves up (pic), short week alert, and the 1-Page Health News

He started when we was 4, and now our 6-year-old hockey player Zach (who likes being called Zachy) is moving up to U8 hockey in April. This past Saturday was his “graduation day” from Arapahoe Warriors Mighty Mites. It’s hard to believe how time flies!

Speaking of time flying by, my boys are off this Thursday and Friday because the teachers have conferences. I am taking those two days off to ski with them. We’ll be in the office Monday, Tuesday and Wednesday this week from 9:00-5:30, so if you need us, call us and get in: 303.300.0424- to get to Jessica and Samantha at the desk.

And now onto this week’s 1-Page Health News.

Mental Attitude: Is Self-Esteem Driven By Universal Mechanisms?
According to a new international study, self-esteem increases as people grow older, and men tend to have higher levels of self-esteem than women. The findings were based on data collected from more than 985,000 people from 48 countries between 1999 and 2009. Lead author Dr. Wiebke Bleidorn writes, “This remarkable degree of similarity implies that gender and age differences in self-esteem are partly driven by universal mechanisms; these can either be universal biological mechanisms such as hormonal influences or universal cultural mechanisms such as universal gender roles. However, universal influences do not tell the whole story.”
Journal of Personality and Social Psychology, January 2016

Health Alert: Hyperactivity Increases Risk for Traumatic Dental Injury.
Children with hyperactivity symptoms are more likely to sustain a traumatic dental injury (TDI). Researchers reviewed the medical records of 230 school children and found those whose parents reported signs of hyperactivity were 2.33 times more likely to experience a TDI than those without parental-reported hyperactivity symptoms.
International Journal of Paediatric Dentistry, January 2016

Diet: Eating Fruit and Veggies Linked to Better Grades.
Using data collected from 47,203 Canadian adolescents as part of the 2012-2013 Youth Smoking Survey, researchers from the University of Waterloo conclude that only about 10% currently meet the Canadian government’s national fruit and vegetable intake recommendations (7-8 servings per day). The researchers also found that those who did consume the recommended amounts of produce per day are also more likely to earn mostly A’s or B’s on their report cards.
The Journal of School Health, February 2016

Exercise: Diet & Exercise Improves Ability to Exercise Among Those with a Common Type of Heart Issue.
A new study claims that obese older patients with a common type of heart failure can improve their ability to exercise without shortness of breath by either restricting calories or doing aerobic exercise. Heart failure with preserved ejection fraction (a measure of how well the left ventricle of the heart pumps with each contraction) is the most rapidly increasing form of heart failure. Exercise intolerance is the primary symptom of this chronic heart failure condition, and over 80% of patients with this condition are overweight or obese. In this small study, the authors found that peak Vo2 (volume of oxygen that an individual can use in one minute) increased significantly with either increased exercise or a healthier diet, and the combination of a healthy diet with exercise produced an even greater increase in exercise capacity.
Journal of the American Medical Association, January 2016

Chiropractic: Lower Vitamin D Linked to Older Women with Carpal Tunnel Syndrome.
Past studies have suggested that vitamin D plays a role in protecting the nerves from injury or degeneration. In a new study, investigators found that the incidence of carpal tunnel syndrome was higher among women who were vitamin D deficient than women who had healthy vitamin D levels, especially in those under the age of 50. The study suggests improving vitamin D status could help women under the age of 50 reduce their risk of developing carpal tunnel syndrome and related conditions. (Note- we get excellent results by treating Carpal Tunnel Syndrome with Active Release Technique. Call us, we can help 303.300.0424.)
The Journal of Hand Surgery, December 2015

Dr. Glenn Hyman’s Denver Chiropractic Center
303.300.0424
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Denver Chiropractor Dr. Glenn Hyman’s Denver Chiropractic Center and this week’s 1-Page Health News

We are in the very final stages of our office remodel, and I’m happy to say that all of our treatment rooms are open again. During the construction, there were a few weeks where we had just one treatment room, and that’s why it was tough for some of you to get in to see us. We are truly sorry about the inconvenience, but we are fully operational once again! So if you need us, call us 303.300.0424 (or reply to this email to get straight to Natalie at front desk.)

Here’s this week’s 1-Page Health News:

Mental Attitude: Your Speaking Skills May Be the Key to Making Things Happen.
Investigators at the University of Chicago report that your voice may be instrumental in advancing your career. In the study, researchers found that evaluators were more moved to action by well-spoken pitches than well-written submissions.
Journal of Psychological Science, February 2015

Health Alert: New Data on E-Cigarette Use Among College Students.
Surveys completed by nearly 1,400 college students show that 30% have at least tried e-cigarettes. Among current e-cigarette users, 87% previously used another nicotine product and nearly 35% used other non-cigarette tobacco products during the previous month. The data also show that students who use e-cigarettes tend to have average or below-average grades.
Drug and Alcohol Dependence, April 2015

Diet: Salt Intake May Affect More Than Your Blood Pressure.
A new study warns that eating too much salt may damage your blood vessels, heart, kidneys, and brain, even if you don’t develop high blood pressure. Researchers say that even if people do not develop high blood pressure, excessive salt consumption can lead to reduced function of the inner lining of blood vessels, enlargement of the left ventricle of the heart, kidney function issues, and damage to the sympathetic nervous system.
Journal of the American College of Cardiology, March 2015

Exercise: Can Exercise Improve Your Child’s Math Grades?
After performing physical fitness tests on 273 elementary school students, Indian researchers found that those with the greatest levels of aerobic fitness scored 8-11% higher on math tests than their least fit peers, even after adjusting for gender, socioeconomic status, and weight status. Because physical fitness could elevate a student’s grade from a C to a B or a B to an A, the researchers recommend educators and policymakers look for opportunities to promote physical activity during the school day.
PLOS ONE, March 2015

Chiropractic: Sitting Increases Back Pain Risk?
While most people think of back pain as resulting from strenuous physical activity, a new study finds that the more time an individual spends sitting each day at both home and work, the greater their risk for a back injury. In the study, researchers found that among a group of 201 blue-collar workers, those who spent the most time sitting on their average day were three times more likely to experience back pain when compared with those who sit the fewest hours on a given day.
PLOS ONE, March 2015

Wellness/Prevention: Insufficient Sleep Linked to Overnight Increases in Blood Pressure.
Mayo Clinic researchers have found that individuals who don’t sleep enough hours experience a rise in blood pressure and an elevated heart rate when they do sleep, the opposite of what occurs in those who get sufficient quality sleep. Researcher Dr. Naima Covassin explains, “We know high blood pressure, particularly during the night, is one of the major risk factors for heart disease, and Americans typically do not get enough sleep. For the first time, we demonstrated that insufficient sleep causes increases in nighttime blood pressure and dampens nocturnal blood pressure dipping by using a controlled study that mimics the sleep loss experienced by many people.”
Mayo Clinic, March 2015

Dr. Glenn Hyman’s Denver Chiropractic Center

If you see this dog, please don’t approach her. & This Week’s 1-Page Health News

This is Liberty. Liberty is a puppy who is training to be a guide dog for the blind. One of our awesome patients, Karen B., is training and socializing Liberty for a year. If you’re coming to our office in the afternoon, you may encounter this super-cute dog. Since she’s working, it’s best for Liberty if you admire her from afar please refrain from approaching her. By doing so, you’ll be contributing a little tiny bit to Liberty’s training.

This Week’s 1-Page Health News:

Mental Attitude: Misfiring in Brain Linked to OCD.
Researchers at the University of Cambridge have found that obsessive-compulsive disorder (OCD) may be caused by a misfiring of the brain’s control system. Individuals with OCD have frequent upsetting thoughts that they try to control by repeating certain rituals or behaviors. The study involved scanning the brains of 37 individuals with OCD and the brains of 33 individuals who did not have the disorder as they all performed a specific activity to avoid a mild electric shock. The researchers found that OCD participants were unable to stop the specific activity, which revealed overactive brain activity in the caudate (an area of the brain that controls habits) and suggests OCD compulsions may be caused by the habit system in the brain.
American Journal of Psychiatry, December 2014

Diet: Cherry Juice Accelerates Recovery After Cycling.
Montmorency cherry juice appears to help cyclists recover after a hard cycling workout. Researchers found that Montmorency tart cherry juice helped to speed up recovery, maintain muscle function, and reduce markers of inflammation in cyclists who participated in a simulated race.
Cherry Marketing Institute, December 2014

Exercise: Ability to Balance May Reflect Brain Health.
According to new research, the inability to balance on one leg for 20 seconds or longer may signal brain damage in otherwise healthy individuals. In a recent study, participants were asked to balance on one leg up to 60 seconds, received an MRI of the brain, and completed a test to measure cognitive impairment. Those who were unable to balance on one leg for more than 20 seconds showed evidence of cerebral small vessel disease as well as lower cognitive function scores. The researchers add that long-term studies are needed to verify these findings and fully assess the significance of postural instability.
Stroke, December 2014

Chiropractic: Neck, Shoulder, and Back Pain Among High School Students.
Chinese researchers evaluated questionnaires completed by 3,600 high school students and found that 41.1% had experienced neck/shoulder pain and 32.8% had experienced back pain during the previous year. The researchers identified physical inactivity (increased sedentary behavior / low levels of physical exercise), heavy backpacks, mental stress, and insufficient sleep as risk factors for neck, shoulder, and back pain in the high school student population.
Journal of the Chinese Medical Association, October 2014

Wellness/Prevention: Young Children Need Eye Screening.
Experts from the United States National Center for Children’s Vision Health say that all children should have their eyesight evaluated yearly between the ages of three and six. Children in this age group require screening to detect vision issues such as amblyopia (“lazy eye”) and strabismus (a disorder of eye alignment), which can require glasses. Dr. Anthony Adams, the editor-in-chief of the journal Optometry and Vision Science, adds, “Unfortunately, many children receive neither appropriate screening to help identify those who need immediate eye attention, nor a comprehensive examination by an eye care professional, prior to beginning school.” The goal of the new guidelines is to ensure that pre-school children with vision problems are identified and receive appropriate eye examinations and follow-up care to help ensure their development and readiness for elementary school.
Optometry and Vision Science, December 2014

Carpal Tunnel Syndrome, Exercise, and Chiropractic

CTS, Exercise, and Chiropractic

Carpal Tunnel Syndrome (CTS) is a condition characterized by numbness, tingling, and/or pain located on the palm side of the wrist, hand and into the index, third, and half of the ring finger. It’s caused by pressure exerted on the median nerve as it passes through the “tunnel” located in the wrist. The “floor” of the tunnel is a ligament while the “walls” are made up of eight small carpal bones that lock together in the shape of a tunnel. There are nine tendons (tendons attach muscles to bones allowing us to move our fingers), sheaths covering the tendons, blood vessels, and the median nerve that ALL travel through the tunnel, so it’s packed pretty tight. ANYTHING that increases the size of any of these structures or anything “extra” that shouldn’t be there can increase the pressure inside the tunnel, pinch the median nerve, and result in the classic numb/tingling symptoms that wake people up at night, or interfere with work or driving.

In the Unites States (US), about 1 out of 20 people will suffer from CTS. Caucasians have the highest incidence rate and women are affected more than men by a 3:1 ratio between ages of 45-60 years old. Only 10% of the reported cases of CTS are under 30 years old. Occupational CTS (as of 2010) affects 8% of US workers with 24% attributed to manufacturing industry jobs. This equates to approximately 3.1 million cases of work-related CTS in 2010. The risk of developing CTS increases with age, diabetes, hypothyroid, pregnancy, taking birth control pills, having an inflammatory arthritis, being obese, pinched nerves in the neck, thoracic outlet, elbow, and others. Therefore, managing CTS requires a thorough evaluation in order to assure accuracy in the diagnosis. With this background information, let’s look at the question, WHAT CAN YOU DO TO HELP CTS? One answer is, don’t age – good luck with that! In addition to keeping your weight under control, exercise can be VERY effective and YOU can be in charge of that process, but we have to teach you the exercises.

1) The Carpal Stretch (“nerve gliding”): Place your palm on the wall near shoulder height with the fingers pointing down at the floor and press the palm of the hand flat on the wall. Lastly, reach across with the opposite hand and pull your thumb back off of the wall and hold for 5-15 seconds.

2) The Wrist Extensor Stretch: Do the same as #1 but place the back of the hand on the wall in front of you, again fingers pointing downward. Here, there is no need to stretch the thumb.

3) The “Bear Claw”: Make a fist and then open up the hand. Keep the small finger joints flexed while extending the knuckles at the base of each finger straight (not bent). Repeat 5-10x.

4) Putty Squeeze: Simply squeeze putty in your hand for two to five minutes until fatigued.

5) Yoga has been shown to reduce pain and improve grip strength in CTS patients!

Now the question, “…can these exercises prevent surgery?” The answer is “maybe.” They certainly help in some cases, but a multi-dimensional treatment plan is the BEST approach. This includes: 1) Chiropractic manipulation of the hand, wrist, elbow, shoulder, and neck; 2) Active Release Techniques of the muscles in the forearm, upper arm, shoulder, and neck; 3) Cock-up wrist splint to be used at night, and in some cases, at times during the day; 4) Ergonomic management of your work station or situation (to minimize repetitive insult to the area); 5) Nutritional support that may include an anti-inflammatory diet and nutrients (vitamins, minerals, herbs, etc.), and 6) Managing any contributing conditions like diabetes, hypothyroid, and/or the others. Here’s the

GOOD NEWS: CHIROPRACTIC can manage these six steps, though some cases will require co-management with primary care and/or specialist.

We realize you have a choice in whom you consider for your health care and we sincerely appreciate your trust in choosing Dr. Glenn Hyman’s Denver Chiropractic Center for those needs. If you, a friend, or family member requires care for Carpal Tunnel Syndrome, we would be honored to render our services.

Carpal Tunnel

Last month, we covered what Carpal Tunnel Syndrome (CTS) is, its symptoms, causes, who is at risk, and how it’s diagnosed. This month, we’ll center our focus on CTS treatment.

How is CTS treated? For the best success, treatment should begin as early as possible. Unfortunately, most people wait a long time before they get to the point where the symptoms interfere with daily activity enough to prompt them to act quickly and make an appointment. Once the cause or causes of CTS are determined, treatment can address ALL the presenting contributing conditions. The FIRST course of care should be NON-SURGICAL, though this is not always practiced – so be aware! Non-surgical care includes the following:

Chiropractic:
Manipulation: This usually includes adjusting the small bones of the hand, the wrist, the forearm, elbow, shoulder, and/or the neck.
Active Release Techniques: This includes loosening up the overly tight forearm muscles where the median nerve runs through (on the palm side of the forearm).

Nutritional: Nutrients such as vitamin B6 have been shown in studies to be effective in some cases. Also, anti-inflammatory herbs (ginger, turmeric, bioflavinoids) and / or digestive enzymes (bromelain, papain, and others) taken between meals are quite effective.
Anti-inflammatory: The first important distinction is that ice can be very effective depending on how long the CTS has been present. In particular, ice cupping or rubbing ice directly on the skin over the carpal tunnel is the most effective way to use ice as an anti-inflammatory agent. When doing so, you will experience four stages of cooling: Cold, Burning, Achy, Numb or, “C-BAN.” It’s important to remember this as you are REALLY going to want to quit in the burning/achy stages when it feels uncomfortable. Once the skin over the wrist / carpal tunnel gets numb (which takes about four to five minutes) QUIT as the next “stage” of cooling is FROST BITE! Most medical practitioners promote the use of NSAIDs (non-steroidal anti-inflammatory drugs) like Advil, aspirin, or Aleve. However, these carry negative side effects including gastritis (burning in the stomach that can lead to ulcers), or liver and/or kidney damage. Try the nutritional anti-inflammatory approach FIRST as they are extremely helpful without the bad side effect potential!
Diet: An ant-inflammatory diet, like the Paleo-diet or gluten free diet, serves as a great tool in reducing the inflammatory markers in the body. Though only 7-10% of the population has celiac disease (gluten intolerance), it’s been estimated that over 80% of us are gluten “sensitive.” Reducing systemic inflammation can make a BIG DIFFERENCE in the management of many conditions including CTS!
Mechanical: Wrist “cock-up” splints can also be REALLY HELPFUL, especially for nighttime use. The reason for this is because when our wrist is bent forwards or backwards, which frequently occurs when sleeping, the pressure inside the carpal tunnel increases, and over time (minutes to hours), the increased pressure in the tunnel exerts compression on the median nerve which then creates numbness into the thumb, index, third and half of the fourth finger, which can wake you up out of a sound sleep. Keeping the wrist straight at night prevents you from curling your wrist under your jaw while sleeping.
Ergonomic Modifications: Changing your work station (computer station, line position, machine controls, pace or rate of repetitive movements, and more) is VERY effective.

WE have a great track record with Carpal Tunnel Syndrome at Denver Chiropractic Center. Call us 303.300.0424.